Menopause depression can last for different lengths of time depending on the individual. For some women, symptoms may come and go over the years surrounding menopause. For others, depressive symptoms may persist for longer. There are several factors that influence duration, including:
- Hormone levels - Fluctuating and declining estrogen and progesterone levels around menopause can affect mood. Some women are more sensitive to these hormone changes. Supplementing with bioidentical hormones can help stabilize mood for some women.
- Genetics - Women with a family or personal history of depression are at greater risk for persistent menopausal depression. Genetics account for about 40% of depression risk.
- Stress - High stress levels can trigger and worsen depressive episodes during menopause. Stress management is key.
- Lifestyle factors - Poor sleep, social isolation, low activity levels, and other unhealthy behaviors can worsen menopausal mood changes. Making positive lifestyle changes can help.
- Treatment - Getting proper treatment can help minimize duration. The most effective treatments include hormone therapy, antidepressants, psychotherapy, and making healthy lifestyle changes.
The average duration depends on whether it is treated or not:
- Untreated menopause depression typically lasts around 3-5 years on average. But in some women it may wax and wane over the whole menopausal transition all the way until postmenopause.
- With treatment, the average duration is shortened to about 9 months to 2 years. But it depends on the treatment approach and individual factors.
Some key points about duration:
- Perimenopausal depression (in the years leading up to menopause) may come and go along with hormone fluctuations.
- Depression emerging a year after the last period and persisting is more likely to require treatment.
- There is no firm end point. Some women may struggle with mood disorders well into postmenopause.
- Having major depression before menopause increases risk of it returning and persisting during the menopausal transition.
Treatments that may help shorten duration:
- Systemic estrogen progestogen therapy is considered the most effective treatment for menopause-related mood disorders when appropriate. Data shows it can help stabilize mood.
- Antidepressants like SSRIs and SNRIs may be used alone or with hormones.
- Psychotherapy helps women make health and lifestyle changes to manage symptoms.
- Complementary health approaches like meditation, yoga, or acupuncture may also help.
- Making positive health changes like eating better, exercising, getting quality sleep, practicing self-care, and asking for support from loved ones can help boost mood.
The experienced physicians at
New Beginnings HRT Clinic specialize in helping women address hormone-related mood issues surrounding
perimenopause, menopause, and beyond through
individualized treatment plans that may include
bioidentical hormone therapy, medications, nutrition plans, and
lifestyle changes. Call today to schedule a consultation.
